Brooke Elizabeth Powell

Individual provider Active NPI Speech-Language Pathologist · Cody, WY

NPI 1477297828 · NPPES record last updated Nov 16, 2022

Key facts

NPI
1477297828
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
919 Cody Ave
Cody, WY 82414-4115
Phone
(307) 527-6332
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Park County School District 6 Local Education Agency (Lea) Current
since Jun 5, 2022
Accepting new patients

Locations

919 Cody Ave
Cody, WY 82414
Phone (307) 527-6332

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X WY
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

919 Cody Ave
Cody, WY 82414-4115

Mailing address

9 Winhof LN
Cody, WY 82414-7607
Phone (307) 710-2118

Other providers in Cody, WY

All providers in Cody, WY · Speech-Language Pathologist in Wyoming

Sources for this page

Verify at the official NPI Registry.